34089_WOOD, JACKIE S_20030612

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GENERAL PERMIT Previous per t#
[%Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources _
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
21 Rules attached.
Applicant Name ' t • r' * J. 114 L Project Location: County 4
Address ! 4 �. kIA 4 - i2d
City W(,,A c State u ZIP It
Phone # (�) ^'q �� Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW E PTA ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City.
ZIP
Phone # ( ) River Basin (jer K
Adj. Wtr. Body i j � 1 (�e, k « Uiat, /man /unkn)
Closest Maj. Wtr. Body
number
head/ Riprap length
max distance offshore-
,channel
cubic yards_
ramp
not sure yes C-
os: yes
er Attached: es
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Agent c i Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check # **
Permit Officer's Signature
Issuing Date
Expiration Date
Local Planning Jurisdiction Rover File Name

Ll
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑[ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

JACKIE S. WOOD
rHe NCDL 2207079 PH 252-393-6414 1418
Go en CiTCle 240 BUSTER RD.
SWANSBORO, NC 28584 - 66-7704/2531
Pay tooe I/A /'l Date
State Employees' -
p yees' Credit Union
Kwa 62 VP Morehead Cily, Norlh Carolina
For -6p CJ
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ADJAG'ENT RIP;MAx PR0PzRx-VCUNM STAT-VZMNT
I hereby certify tr;�at I own property adjaaent to
1 C t C'_ 1 _� . ..._( - t Y r s PrgPerty located..'at
(Name o£• PY:operty Dwner'
n �j Blok,RR.o.ad,
on 11 1 I 1 r J I `_,��.�. i n �-,. �f '�!^, S'! B^ E i E.1 1 I (% + t r'^ rJ T C� , N. L"' .
CWatezbody} (T(:ma and/or County)
lie has -described -to me, as shown below, the development he is
proposing at that location, e.nd, I have no objections to his
proposal.
DESCRIETION AND/oR MzWiNG OF PROPO51.7,D DEVELCFM :
(To be JiUed In iry i-ndividual PiOPIOSIng development)
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Received Time Mav,20. 10,40RM

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i he-reby certify that I own ro j�� "
p pert' adiacent to
dame t Prppefty owner) ._.
proper! 1td at(Let Block
Roaa3L, etc..}in IS
.
(Walut
ody3 ` �i'o�vtt Aradlvr Coup~ t� __.► C.
e ha5described tu me as shown belOw. the development he is proposinS at ghat location,
and, I have no objections to his proposal.
DaM. 1PTIO.N A , OR DRAWZ;G OF PROPOSED DEVELOPMFNr
M be�Wtd in by individual proposing development)
i
ic'c
grin: ar ype Name
040
_d � CP�ont ir�;�mber
..pace: 13